Individual
MISS KELLEY BETH MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LPC, CAC, CCDP
Contact information
Practice address
355 5TH AVE, PARK BUILDING, SUITE 410, PITTSBURGH, PA 15222-2409
(412) 244-4550
(412) 244-4550
Mailing address
164 MICHIGAN AVE, LOWER BURRELL, PA 15068-2932
(724) 994-9221
(412) 244-4550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC004214
PA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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